NPI | 1285207571 |
---|---|
Entity Type | Organization |
Authorized Contact | CORNELIUS FRANCIS GORMAN Clinical Director & Therapist 630-247-1978 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2024-06-11 |